Individual
MR. BOYDE J HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
904 26TH STREET, HALEYVILLE, AL 35565
(205) 486-5234
(205) 486-5232
Mailing address
PO BOX 655, HALEYVILLE, AL 35565
(205) 486-5234
(205) 486-5232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10063
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030197
—
AL
Enumeration date
07/06/2006
Last updated
07/08/2007
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